Physician
Rosenbaum, Raphael
Rosenbaum, Raphael was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
33Billing provider infoROSENBAUM, RAPHAEL
BROOKLYN, NY 11219
BROOKLYN, NY 11219
33aNPI1801043211assigned 08/27/2008
33bProvider typeOphthalmology Physician
28Total paid$1.16M
24GClaims34,646
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#96 of 1,085
Median peer was paid$34K
This provider vs. median34×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,134 | $113K | |
| 2019 | 4,845 | $153K | |
| 2020 | 3,521 | $133K | |
| 2021 | 6,019 | $207K | |
| 2022 | 5,923 | $219K | |
| 2023 | 6,114 | $194K | |
| 2024incomplete | 5,090 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 33% | 5,038 | 5,007 | $379K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 5,187 | 4,891 | $231K |
| 92250 | 13% | 4,754 | 4,711 | $154K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 10% | 2,130 | 2,112 | $121K |
| 92083 | 8.0% | 2,249 | 2,232 | $94K | |
| 92134 | 6.0% | 3,368 | 3,317 | $70K | |
| 68761 | 3.7% | 634 | 347 | $43K | |
| 92133 | 1.8% | 1,025 | 1,014 | $21K | |
| 92225 | 1.6% | 1,373 | 895 | $18K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 28 | 25 | $9K |
| 92015 | Determination of refractive state | <1% | 266 | 266 | $7K |
| 92226 | <1% | 473 | 307 | $5K |
12 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 208 | $4K |
| 92201 | <1% | 289 | $3K | |
| 92202 | <1% | 335 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 25 | $773.28 |
| 76519 | <1% | 19 | $436.56 | |
| 1036F | <1% | 1,833 | $3.76 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 2,015 | $3.76 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 2,209 | $3.76 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 1,127 | $3.76 |
| 99024 | 0% | 20 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.